Hope - Waivered

LBN: Catholic Charities Of The Diocese Of St. Cloud
Hope - Waivered is an health care organization with primary practice located at 157 Roosevelt Rd Suite 300, Saint Cloud MN 56301-5478. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Catholic Charities Of The Diocese Of St. Cloud can be contacted via phone (320) 240-3324, or through Dillman, Judy via phone (320) 650-1545.

Contact Information

Primary practice address
157 Roosevelt Rd Suite 300 Saint Cloud MN 56301-5478
Fax: (320) 240-3339
Website:
Authorized official contact:
Name: Dillman, Judy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1003944620
LBN Legal business name Catholic Charities Of The Diocese Of St. Cloud
DBA Doing business as Hope - Waivered
Authorized official Dillman, Judy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Apr 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003944620 NPPES
Minnesota MEDICAID 936315701

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